| NPI | 1902954233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL PIP1900482C) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001124) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-12-16 |